MATAS ORENTAS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

MATAS

Last Name

ORENTAS

Business Name

MATAS ORENTAS DO

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024